| NPI | 1750336624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY W BAUGHMAN Provider 989-895-8594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2009-08-11 |